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Drug interactions

Brompheniramine + Meperidine

Severity: Moderate

Brompheniramine and Meperidine: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Brompheniramine is a sedating first-generation antihistamine with anticholinergic effects. With meperidine it can cause additive drowsiness and impaired psychomotor function, and anticholinergic effects such as urinary retention and constipation may be amplified.

What this interaction means in plain words

Brompheniramine and Meperidine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Brompheniramine belongs to Respiratory; Meperidine belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive CNS depression and anticholinergic effects from H1 antagonism and opioid action.

What to do

Avoid driving and alcohol, and use the lowest effective doses. Consider a non-sedating antihistamine, particularly in older adults.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Brompheniramine with Meperidine?

MediHelp rates the interaction as moderate. Brompheniramine and Meperidine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Brompheniramine is a sedating first-generation antihistamine with anticholinergic effects. With meperidine it can cause additive drowsiness and impaired psychomotor function, and anticholinergic effects such as urinary retention and constipation may be amplified.

How serious is the interaction between Brompheniramine and Meperidine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid driving and alcohol, and use the lowest effective doses. Consider a non-sedating antihistamine, particularly in older adults.

What other medicines interact with Meperidine?

MediHelp also lists interactions of Meperidine with, for example, Alvimopan, Isocarboxazid, Methylene blue. The full list is on the Meperidine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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